Individual Day Camp Westhaven 2025 Registration

  • Camp Westhaven 2025 Individual Day Registration

    Southern Sitters

  • Camper Information

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  • Parents' Information

    Parent/Guardian 1
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • Contact

    Parent/Guardian 2
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • Emergency Contacts/Authorized Pickup

    Parents cannot be listed as emergency contacts. List the name of at least one person who can be contacted in the event of an emergency or illness if you cannot be reached. Any person listed should be able to assist in contacting you. Person listed must be within one hour of the Westhaven Resident's Club able to take responsibility for the child in case the parent/guardian cannot be contacted and should be at least 18 years of age.
  • Format: (000) 000-0000.

  • Medical / Health Information

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  • 0/150

  • 0/150
  • 0/150
  • 0/200

  • Additional Medication

    Skip Page if N/A

  • If your child's medication meets any of these criteria:

    1. A physician's instruction is needed for a nonprescription medication (e.g. child is underage or underweight per the label instructions); or
    2. It is a sample medication without a prescription label; or
    3. The nonprescription medication is to be given longer than three consecutive days within a fourteen day period or is a topical product or lotion that is being used for a skin ailment and is to be given no longer than fourteen consecutive days; or
    4. The child is on a modified diet (an entire food group is eliminated); or
    5. The medication contains codeine or aspirin.

    ***The topical product or lotion and the physician's instructions exceed the manufacturer's instructions or use

     

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  • Payment and Statement of Understanding


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  • Thank you for registering!
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